Individual
DR. MICHAEL R. PETRIELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE, SUITE # 810, HACKENSACK, NJ 07601-1997
(201) 336-8109
(201) 336-8112
Mailing address
20 PROSPECT AVE, SUITE # 810, HACKENSACK, NJ 07601-1997
(201) 336-8109
(201) 336-8112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA 27845
NJ
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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